﻿<div class="grid_20           push_4" id="bodyContent">



         

<h1><cufon class="cufon cufon-canvas" alt="Contact " style="width: 91px; height: 32px;"><canvas width="105" height="29" style="width: 105px; height: 29px; top: 4px; left: 0px;"></canvas><cufontext>Liên </cufontext></cufon><cufon class="cufon cufon-canvas" alt="Us" style="width: 26px; height: 32px;"><canvas width="38" height="29" style="width: 38px; height: 29px; top: 4px; left: 0px;"></canvas><cufontext>Hệ</cufontext></cufon></h1>


<form method="post" action="http://www.template-preview.com/OS/300111079/contact_us.php?action=send" name="contact_us"><input type="hidden" value="db581bd62c257eba98fa31b40a03a582" name="formid">
<div class="contentContainer min_height_750">
  <div class="contentText">
    <table width="100%" cellspacing="0" cellpadding="2" border="0">
      <tbody><tr>
        <td class="fieldKey">Họ tên:</td>
        <td class="fieldValue"><input type="text" name="name"></td>
      </tr>
      <tr>
        <td class="fieldKey">Địa chỉ email:</td>
        <td class="fieldValue"><input type="text" name="email"></td>
      </tr>
      <tr>
        <td valign="top" class="fieldKey">Yêu cầu:</td>
        <td class="fieldValue"><textarea rows="15" cols="50" name="enquiry"></textarea></td>
      </tr>
    </tbody></table>
  </div>

  <div class="buttonSet">
    <span class="buttonAction"><span class=" "><button type="submit" id="tdb9" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-text-icon-primary ui-priority-primary" role="button" aria-disabled="false"><span class="ui-button-icon-primary ui-icon ui-icon-triangle-1-e"></span><span class="ui-button-text">Continue</span></button></span><script type="text/javascript">$("#tdb9").button({icons:{primary:"ui-icon-triangle-1-e"}}).addClass("ui-priority-primary").parent().removeClass("tdbLink");</script></span>
  </div>
</div>

</form>


<!--        B a n n e r s   Bottom    //-->

			
</div>